﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Retirement/retirement.master" AutoEventWireup="true" CodeFile="onlineAppointment.aspx.cs" Inherits="Retirement_onlineAppointment" %>

<asp:Content ID="Content" ContentPlaceHolderID="retirement_ContentPlaceHolder" Runat="Server">

    <h2 id="heading"><a href="../home.aspx">World Trade Bank</a> > <a href="home.aspx">Retirement</a> > <a href="home.aspx">Flexi Protect</a> > Online Appointment</h2>

    <h2 style="font-family: 'TheSansCdRegular','Lucida Grande','Lucida Sans Unicode', Helvetica, Arial, sans-serif;font-weight: normal;font-size: 54px;line-height: 52px;color: #333333;letter-spacing: -1pt;margin: 0 0 10px 0;">
	Online Appointment Form
    </h2>
    Fill in your details to make an appointment with us.
    <br /><br />
    How do we address you? <asp:Image ID="img_nameRequired" runat="server" ImageUrl="~/Retirement/Images/required.png" ImageAlign="AbsBottom" />
    <br /><br />
    <asp:DropDownList ID="ddl_gender" runat="server">
    <asp:ListItem>Mr</asp:ListItem>
    <asp:ListItem>Mrs</asp:ListItem>
    <asp:ListItem>Ms</asp:ListItem>
    <asp:ListItem>Dr</asp:ListItem>
    </asp:DropDownList>
    &nbsp;&nbsp;&nbsp;&nbsp;
    <asp:TextBox ID="tb_name" runat="server" Enabled="True" placeholder="Your name"></asp:TextBox>
    <asp:RequiredFieldValidator ID="vd_name" runat="server" ControlToValidate="tb_name" ErrorMessage="Pleaes input your name" ForeColor="Red"></asp:RequiredFieldValidator>
    <br /><br />
    Your NRIC / Passport no.? (optional)
    <br /><br />
    <asp:TextBox ID="tb_nric" runat="server" placeholder="(e.g: S1234567B)"></asp:TextBox>
    <br /><br />
    What is your phone / mobile number? <asp:Image ID="img_numberRequired" runat="server" ImageUrl="~/Retirement/Images/required.png" ImageAlign="AbsBottom" />
    <br /><br />
    <asp:TextBox ID="tb_number" runat="server" placeholder="e.g. +6512345678"></asp:TextBox>
    <asp:RequiredFieldValidator ID="vd_number" runat="server" ControlToValidate="tb_number" ErrorMessage="Pleaes input contact number" ForeColor="Red"></asp:RequiredFieldValidator>
    <br /><br />
    What is the best time to call you? <asp:Image ID="img_timeRequired" runat="server" ImageUrl="~/Retirement/Images/required.png" ImageAlign="AbsBottom" />
    <br /><br />
    <asp:DropDownList ID="ddl_timeToCall" runat="server">
    <asp:ListItem>Please Select</asp:ListItem>
    <asp:ListItem>9am - 11am</asp:ListItem>
    <asp:ListItem>11am - 1pm</asp:ListItem>
    <asp:ListItem>1pm - 3pm</asp:ListItem>
    <asp:ListItem>3pm - 6pm</asp:ListItem>
    </asp:DropDownList>
    <asp:RequiredFieldValidator ID="vd_time" runat="server" ControlToValidate="ddl_timeToCall" ErrorMessage="Pleaes select an option" ForeColor="Red" InitialValue="Please Select"></asp:RequiredFieldValidator>
    <br /><br />
    Email (optional)
    <br /><br />
    <asp:TextBox ID="tb_email" runat="server" placeholder="Your email address"></asp:TextBox>
    <br /><br /><br />
    <asp:ImageButton ID="btnRequestAppointment" runat="server" onclick="btnRequestAppointment_Click" ImageUrl="~/Retirement/Images/request_appointment.png" />
    <br /><br />
</asp:Content>


